2024-2025 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 03 01
TITLE:
Pediatric Cardiac Critical Care Medicine -ICE
The elective introduces the student to the care of critically ill children and adults with congenital and/or acquired heart disease. It emphasizes a multidisciplinary approach to the care of complex medical and surgical patients and offers hands-on experience in postoperative care, respiratory failure, shock, pulmonary hypertension, heart failure, cardiomyopathy, ventricular assist devices and ECMO.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
4 consecutive weeks at approx 40 hours per week..
DIRECTOR:
Meghan Chlebowski
meghan.chlebowski@cchmc.org
513-803-5448
G building 6th floor CCHMC, CICU
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
636-0339
Kasota Building, 7th Floor at CCHMC, BN7.727
SITE(S):
CCHMC - Cincinnati Children's Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 1
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 1
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
13 04/07/2025 - 05/02/2025

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
6:30 AM – 5:00 PM Monday-Friday
REPORT 1ST DAY:
Please contact Nicole Jackson (Nicole.jackson2@cchmc.org) and Meghan Chlebowski (meghan.chlebowski@cchmc.org) 1 week prior to arrival for detailed information prior to the elective if you havent' heard before then
COMMENTS:
Due to the high acuity of patients in the CICU, medical students will always be supported in all patient care activities by a categorical fellow or APN under the supervision of the advanced fellow in cardiac critical care as well as the CICU attending. Strong communication skills are necessary in order to ensure the safety of our patients and a valuable learning experience.

INSTRUCTION

LEARNING ACTIVITIES:
  • Clinical Experience - Inpatient
  • Discussion-Small Group (Small Group (=12)
  • Journal Club
  • Congenital heart disease, adult congenital heart disease, cardiac critical care, postoperative management of congenital heart disease, cardiopulmonary support, mechanical ventilation, cardiopulmonary interactions, ECMO, ventricular assist device, sedation in critically ill children
  • Patient Presentation--Faculty
  • Simulation
  • Ward Rounds
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
70% Attending Physician
10% APRN
20% Fellow Physician
FEEDBACK:
ASSESSMENT:

ASSESSMENT METHODS:
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Oral Patient Presentation
Other: Describe other methods not listed above:
Participation
FINAL GRADE:
GRADE ASSIGNED BY:

OBJECTIVES

Instructional Methods:
Knowledge/Skills:
 


  1. Recognize physiologic instability in a patient in the cardiac ICU
  2. Understand the physiology of common congenital heart disease lesions
  3. Formulate an assessment and postoperative plan of care for patients undergoing surgical repair for less complex congenital heart disease lesions (e.g. STAT category 1)
Main Course Topics :
 


Congenital heart disease, adult congenital heart disease, cardiac critical care, postoperative management of congenital heart disease, cardiopulmonary support, mechanical ventilation, cardiopulmonary interactions, ECMO, ventricular assist device, sedation in critically ill children
Procedures:
 None required. May observe procedures including: arterial line placement, CVL placement, endotracheal intubation, bronchoscopy, bag/valve mask airway management, CPR/code events. Due to the high acuity of patients in the CICU, it is unlikely that medical students will be able to perform procedures.
Remediation Plan:
 Guided supervision by advanced fellow, categorical fellow, or APN as needed

SAMPLE WEEK

SCHEDULE NOTE:

Monday-Friday:

6:30 AM-7:00 AM: Pre-rounding

7:00 AM – 8:00/8:30 AM: Educational Conference (e.g. All Inpatient Sign Out (M), CICU Grand Rounds (Tu), Surgical Case Management Conferences (W/Fr))

8:30 AM – 12:00 PM: CICU Rounds

12:00 PM – 1:00 PM: Resident Noon Conference

1:00 PM – 5:00 PM Inpatient Care

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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